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8550 Datapoint, Ste 110 :: San Antonio TX
78229 ::
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8715 Village Drive, Ste 504 ::
San Antonio TX 78217 ::
:: phone (210) 946-0490 :: 24hr phone:
(210) 615-5350 ::
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Ask Dr. Coleman
Breast
Reconstruction
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Dr.
Coleman's Comments:
Putting things simply, you can reconstruct breasts with implants
or your own tissues. Your
own tissues can come from your abdomen, back, or buttocks.
Each area has its own merit and technical challenges. If you have
abdominal fat and are other wise in good health, this has the
best track record of getting a good result. Using microsurgical
techniques has also improved the results, because better blood
supply can be given to the tissue by sewing arteries together
to nourish the flap. The surgeries are technically demanding and
if an artery clots, the results can be ruined; however, the success
rate is around 95%.
My
next preferred area is the latisimus muscle from the back. This
is the oldest tried and true technique that does not require sewing
vessels together and can give excellent results if patients have
adequate fat and tissue here, and the breast is not too large.
The surgery also takes less time.
I
prefer to avoid tissue expanders as these are fraught with the
highest incidence of problems. Often the skin is too thin, it
does not look natural, and the implants can cause problems of
their own with capsule contracture, infection, and pain. I feel
that this route should be reserved for people who absolutely cannot
or will not
have surgery on another part of the body and cannot withstand
a lengthy
operation.
These
photos are examples of microsurgical and non -microsurgical transplants
from the abdomen, latisimus flaps, and with and without implants.
Hopefully these will convince you that any of these techniques
can give a good result if the right decisions are made for the
right patient.
See
How It's Done - Demo
Patient
Photos:
Latisimus
Flap
Perforator
(DIEP) Free Flap
Tram
Flap
Additional
information from the American Society of Plastic Surgeons
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